All that said, in the days following the injury, you should also be on the lookout for signs of infection. These symptoms are all signs you need to see a doctor. Make an appointment with a dermatologist, primary care physician, or at an urgent care center to get the wound drained and get a prescription for antibiotics. If you see red streaks on your hand or forearm or you feel feverish or nauseated, it could be much more serious.
These are signs that the infection has spread to the bloodstream, which can lead to sepsis. After an acute trauma, your nail may turn black and seem like it's barely hanging on.
You can cut it down, but let the injury grow out on its own. In some cases, like if the nail bed is infected, the doctor might have to remove the nail by force. This procedure is called a nail evulsion: First, they numb up your finger with a local numbing treatment. Then the doctor uses special tools to lift the nail on each side and peel the plate away from the nail bed. Kind of sounds like something out of a horror movie , right?
The answer is yes—with a few precautions. Lain recommends first coating the nail with a layer of nail hardener to help protect the nail plate, and Dr.
Gohara says nail polish is totally fine if there is just a crack in the nail once the bleeding has stopped and the injury has had some time to heal, of course. That said, you should put a pause on your gel manicure habit.
Above all, both derms say to avoid the nail salon. SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. There are two primary causes for toenail loss, fungus, and injury.
Toenail fungus , a fungal infection caused by dermatophytes, is the most common reason that a toenail will fall off. Dermatophytes feed on the keratin found in the skin and nails and thrive in warm, moist environments. The development of toenail fungus can make the nails very brittle which makes them more likely to crack or chip.
The fungal growth can also grow between the nail and the nailbed leading to a separation of the toenail, leading to eventual loss. Injury is the second most common cause of toenail loss. The injury itself may either be a traumatic event or occur from repetitive stress. For example, if you are a runner and your toes regularly push against the inside of your shoe, the constant pressure may lead to blistering of the skin under the nail, forcing the separation of the nail from the nail bed.
More traumatic or acute injuries may lead to bleeding under the nail. There may also be bleeding either under the nail or from the nail. You may notice discoloration and looseness of your toenail. Hydrogen peroxide or over-the-counter antibiotic creams can also help keep the area clean and free from infection.
Wrap the nail bed in a pressure bandage to stem the bleeding that will most likely occur. Bandaging the area will also help keep it clean and free from infection. Take over-the-counter pain medications, like aspirin or acetaminophen, to minimize discomfort in your finger and hand. Regularly change the bandage and clean the nail bed until it heals. Gently rinsing the nail bed with water and applying infection-preventing cream will help it heal quickly and properly.
Keep the nail bed protected with gloves and a bandage until the nail fully regrows. Be aware that the area may continue to be sensitive for quite some time. If you lose your nail in an accident, your medical care provider may want to give you a tetanus shot if it has been more than five years since you've had one.
If your fingernail is damaged, like in a sports injury, but turns black and remains intact instead of falling off, your medical care provider may want to remove it to allow a new nail to grow properly in its place. A tourniquet will be applied to the finger, then a tool will be used to fully separate the nail from the nail bed. You may receive local anesthetic.
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